Individual provider Active NPI

Steven Thomas Tarrence, RNFA

  • Registered Nurse First Assistant
  • Chandler, AZ
National Provider Identifier
1497217673
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
RN085626 Issued in AZ
Practice address
2925 E Riggs Rd Ste 8-195
Chandler, AZ 85249-4288
Phone
(480) 993-6057
NPI assigned
Apr 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN085626 AZ
Registered Nurse First Assistant 163WR0006X RN085626 AZ Primary

Addresses

Primary practice location

2925 E Riggs Rd Ste 8-195
Chandler, AZ 85249-4288

Mailing address

2925 E Riggs Rd Ste 8-195
Chandler, AZ 85249-4288
Phone (480) 993-6057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN085626AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Assistance LLC Registered Nurse First Assistant PastSince Aug 6, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1497217673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 E RIGGS RD STE 8-195",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852494288",
            "telephone_number": "480-993-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 E RIGGS RD STE 8-195",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852494288",
            "telephone_number": "480-993-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARRENCE",
        "first_name": "STEVEN",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "RNFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN085626",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "AZ",
            "license": "RN085626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.